Not Otherwise Specified

This episode takes a sobering look at the mental health of U.S. medical students and trainees, in an era when the pressures can be intolerable but the culture still treats depression as weakness.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400696.
Notes from this episode:
https://www.nytimes.com/2020/07/11/nyregion/lorna-breen-suicide-coronavirus.html
https://www.ama-assn.org/practice-management/physician-health/encourage-physicians-healing-make-it-ok-ask-help

In this episode, host Lisa Rosenbaum talks with two trainees whose lives and careers have been changed by educational debt, and to an economist who has a rather different take on the problem.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400695.

In this episode, Lisa Rosenbaum talks with an expert on generational change and a member of the current trainee cohort about generational values and the need for cross-generational dialogue.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400693.

In this episode, Lisa Rosenbaum talks with physician trainees and a former residency program director to weigh the benefits and risks of the new wave of trainee unionization.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400692.

In this episode, a medical educator goes on the record with widespread but rarely publicly voiced concerns about the slippery slope from “wellness days” to inadequate medical training.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400690.

In this episode, Lisa Rosenbaum explores the shift in people’s perceptions of work’s role in our lives and its effects on medical training and the psychological satisfaction of physicians.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400689.

In the first podcast episode of NOS Season 2, “The Quiet Revolution in Medical Training,” host Lisa Rosenbaum talks with trainees, educators, and experts about the seeds of the current upheaval.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2303616.

In Season 2 of the NEJM podcast “Not Otherwise Specified” (NOS), host Lisa Rosenbaum delves into multiple facets of a burgeoning revolution in medical training. In discussions with a diverse group of trainees, educators, and experts on evolving cultural norms, Lisa explores the effects of the Covid pandemic, societal changes in attitudes toward work, trainee unionization, clashes of generational philosophies, the well-being movement, and other key strands of the rapidly changing fabric of medical culture.

In this episode of “Not Otherwise Specified,” Richard Rosenbaum, a neurologist and the uncle of host Lisa Rosenbaum, tells the story of his own progressive neurologic disease and considers his coping mechanisms and the care he has received.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2301938.

“Not Otherwise Specified” host Lisa Rosenbaum talks with Marcella Alsan about her winding career path and her studies on medical mistrust, racial concordance between physicians and patients, and their effects on deeply entrenched health inequities.
A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2301937.